Is it necessary to have a dentist within an intensive care unit team? Report of a randomised clinical trial

International Dental Journal
Wanessa Teixeira Bellissimo-RodriguesFernando Bellissimo-Rodrigues

Abstract

To evaluate the effectiveness of dental treatment in improving oral health in critical patients. This randomised clinical trial was conducted in a general intensive care unit (ICU) at a tertiary care public facility from 1 January 2011 to 8 August 2013. Data from 254 adult patients staying in the ICU for 48 hours or more were analysed. The experimental group (n = 127) had access to dental treatment provided by a dentist four to five times a week, in addition to routine oral hygiene, whereas the control group (n = 127) had access only to routine oral hygiene, including topical application of chlorhexidine, provided by the ICU nursing staff. The baseline oral health status of the enrolled patients was poor and included edentulism, caries, gingivitis, periodontitis and residual roots. Dental treatment consisted of toothbrushing, tongue scraping, removal of calculus, scaling and root planing, caries restoration and tooth extraction. The Oral Hygiene Index Simplified (OHI-S) and Gingival Index (GI) scores decreased in the experimental group but did not change significantly in the control group during the ICU stay. Dental treatment prevented most of the episodes of respiratory tract infections, as previously reported. No severe adver...Continue Reading

References

Jan 1, 1996·Journal of Public Health Dentistry·J E FrenckenP Phantumvanit
Jan 1, 1964·The Journal of the American Dental Association·J C GREENE, J R VERMILLION
Dec 1, 1963·Acta Odontologica Scandinavica·H LOE, J SILNESS
Feb 6, 2007·American Journal of Respiratory and Critical Care Medicine·Hiromitsu Kishimoto, Masahiro Urade
Jun 15, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonDaniel J Sexton
Oct 27, 2007·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·João Manoel da SilvaJoão Silva de Mendonça
Nov 11, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Seok-Mo HeoFrank A Scannapieco
Jan 1, 2009·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Reinaldo SalomaoMaria Angela Maretti-da-Silva
Sep 12, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Fernando Bellissimo-RodriguesRoberto Martinez
Feb 18, 2010·American Journal of Lifestyle Medicine·Robert E McKeown
Mar 23, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marcos I RestrepoMarin H Kollef
Jul 30, 2011·The Lancet Infectious Diseases·Sonia O LabeauStijn I Blot
Feb 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marin H KollefFrank R Ernst
Mar 17, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·L LorenteA Sierra
Sep 7, 2012·BMJ : British Medical Journal·Marion K CampbellUNKNOWN CONSORT Group
Nov 16, 2012·Revista Da Sociedade Brasileira De Medicina Tropical·Fernando Bellissimo-Rodrigues, Wanessa Teixeira Bellissimo-Rodrigues
Nov 23, 2012·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·P ZarbUNKNOWN Hospital Contact Points for the ECDC pilot point prevalence survey
Oct 22, 2013·JAMA : the Journal of the American Medical Association·UNKNOWN World Medical Association
Nov 2, 2013·American Journal of Infection Control·Shelley S MagillPamela Lipsett
Mar 29, 2014·The New England Journal of Medicine·Shelley S MagillUNKNOWN Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team
Jun 16, 2014·The Journal of Evidence-based Dental Practice·Caren M Barnes
Oct 22, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Wanessa T Bellissimo-RodriguesFernando Bellissimo-Rodrigues
Mar 20, 2015·Brazilian Oral Research·Ludmila Coutinho MoraesFrancisco Montagner
Aug 9, 2016·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Abdullah HaghighiJamshid Yazdani Charati
Jun 9, 2017·British Journal of Nursing : BJN·Ranjitha ChackoJeyarani Premkumar
Oct 21, 2017·American Journal of Infection Control·Karen K GiulianoBarbara Quinn

❮ Previous
Next ❯

Citations

Nov 30, 2019·Critical Care : the Official Journal of the Critical Care Forum·Wanessa Teixeira Bellissimo-RodriguesFernando Bellissimo-Rodrigues
Jun 24, 2021·Brazilian Oral Research·Gisele Corrêa de Oliveira ZigmundoManoela Domingues Martins
Aug 28, 2021·Journal of Clinical Medicine·Mi-Kyoung JunJeong-Keun Lee
Nov 25, 2021·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Hélder Domiciano Dantas MartinsÉricka Janine Dantas da Silveira

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Wanessa Teixeira Bellissimo-RodriguesFernando Bellissimo-Rodrigues
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Fernando Bellissimo-RodriguesRoberto Martinez
Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Gilberg Resende VianaRenata Oliveira Guaré
Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research
Hae-Ok SohnEun-Kyong Kim
© 2022 Meta ULC. All rights reserved